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Iliac crest reconstruction to reduce donor-site morbidity: technical note
Joseph Richard Dusseldorp1, Ralph J Mobbs
1Department of Neurosurgery, Prince of Wales Hospital, Randwick, NSW, Australia. joeduss@hotmail.com
Summary
Calcium Phosphate Cement reconstruction after autogenous bone graft harvest did not reduce donor-site pain in spinal fusion patients. This technique failed to decrease morbidity in the studied patient population.
Area of Science:
- Orthopedics
- Spinal Surgery
- Bone Grafting
Background:
- Autogenous bone graft (autograft) from the iliac crest is standard for spinal fusion.
- Donor-site pain is a common complication, affecting one-third of patients.
- Various methods exist to reduce donor-site morbidity, including reconstruction techniques.
Purpose of the Study:
- To evaluate the efficacy of Calcium Phosphate Cement (CPC) for iliac crest reconstruction in reducing donor-site pain.
- To assess the incidence of persistent donor-site pain after CPC reconstruction following autograft harvest.
Main Methods:
- A case series design was employed.
- Twelve patients underwent autograft harvest for spinal fusion with iliac crest reconstruction using CPC.
- Follow-up data on persistent donor-site pain was collected for at least 3 months.
Main Results:
- 42% (5 out of 12) of patients experienced persistent donor-site pain.
- Reported pain scores were low, with a mean of 1.25 (≤2 out of 10).
Conclusions:
- Iliac crest reconstruction using CPC is a straightforward procedure.
- CPC reconstruction did not decrease the incidence of donor-site morbidity in this patient cohort.